Cold invading the Stomach

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At a glance

Key attributes

Chinese name: 胃寒恶阻      Pinyin name: Wèi Hán È Zǔ

Pattern nature: Full

Causes

Common causes: 1. Invasion of Exterior Cold, 2. Diet

Diagnosis

Common symptoms: Nausea Cold limbs Feeling of cold Severe epigastric pain Vomiting of clear fluids and two other symptoms

Pulse type(s): Deep (Chen), Slow (Chi), Tight (Jin)

Tongue description: Thick white coating

Treatment

Treatment principle: Expel Cold

Common formulas: Liang Fu Wan Huo Xiang Zheng Qi San

Pathology

Pathogenic Cold blocks the Stomach and prevents Stomach-Qi from descending, hence the vomiting and the pain.

Cold impairs the Yang of the Stomach and Spleen and prevents the food essences from reaching the body, hence the feeling of cold, the Slow pulse, the preference for warm liquids and aggravation from cold liquids.

As Cold injures Yang, if this situation persists, the Stomach will suffer from Empty-Cold and Yang Deficiency. Therefore the present pattern of Cold invading the Stomach may lead to the pattern of "Stomach Deficient and Cold".

Causes

Invasion of Exterior Cold: The Stomach is one of three Organs which can be directly invaded by Cold Pathogenic Factor (along with the Large Intestine and the Uterus). It is an acute condition caused by exposure to cold from improper dressing.

Diet: Excessive consumption of cold foods and iced drinks can cause this pattern.

Diagnosing Cold invading the Stomach

Pulse type(s): Deep (Chen), slow (Chi) or tight (Jin)

Tongue description: Thick white coating

Main symptoms: Nausea Cold limbs Feeling of cold Severe epigastric pain Vomiting of clear fluids Preference for warm drinks and foods Feeling worse after drinking cold drinks

Diagnosis commentary: The key characteristic symptoms of this pattern are the sudden pain in epigastrium, the vomiting, feeling cold and the Deep-Tight Pulse.

Treating Cold invading the Stomach

Treatment principle

Expel Cold 

Herbal formulas used to treat Cold invading the Stomach

Huo Xiang Zheng Qi San

Source date: 1107 AD

Number of ingredients: 11 herbs

Key actions: Releases the Exterior. Transforms Dampness. Regulates Qi. Harmonizes the Middle Burner.

Formula summary

Huo Xiang Zheng Qi San is a 11-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that transform Dampness and harmonize Stomach.

Besides Cold invading the Stomach, Huo Xiang Zheng Qi San is also used to treat Rebellious Stomach Qi or Damp-Heat.

Read more about Huo Xiang Zheng Qi San

Liang Fu Wan

Source date: 1842 AD

Number of ingredients: 2 herbs

Key actions: Warms the Middle Burner. Dispels Cold. Promotes the movement of Qi. Alleviates Pain.

Formula summary

Liang Fu Wan is a 2-ingredient Chinese Medicine formula. Invented in 1842 AD, it belongs to the category of formulas that promote Qi movement.

Besides Cold invading the Stomach, Liang Fu Wan is also used to treat Large Intestine Cold or Cold invading the Large Intestine.

Read more about Liang Fu Wan

Consequence patterns

Stomach Blood Stagnation

If left untreated Cold invading the Stomach can lead to Stomach Blood Stagnation

Stomach Deficient and Cold

When Pathogenic Cold invades the Stomach it injures the Yang. if this situation persists, the Stomach will suffer from Empty-Cold and Yang deficiency, i.e. "Stomach Deficient and Cold".